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Oak Ridge Associated Universities 2006 Annual Report

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ORISE Prepares U.S. Ports of<br />

Entry for the Threat of Flu from<br />

International Sources<br />

In an effort to prepare American airport and<br />

customs authorities for the threat of flu entering<br />

the country, ORISE conducted tabletop exercises<br />

on behalf of CDC at international airports of<br />

entry into the U.S. Some of these exercises involved<br />

areas with existing quarantine stations (Los<br />

Angeles, Chicago, and Hawaii). Other exercises<br />

were conducted in cities with newly established<br />

quarantine stations (Washington, D.C.-Dulles,<br />

Houston, and San Juan, Puerto Rico). The exercises<br />

involved scenarios of arriving overseas airline<br />

passengers with worsening symptoms of influenza.<br />

Representatives from airport authorities, airlines,<br />

quarantine stations, hospitals, and first responders<br />

“walked through” their responses and identified<br />

strengths and areas for improvement in working<br />

with the issues and parties involved.<br />

Additionally, ORISE conducted flu preparedness<br />

exercises in two landlocked U.S. ports-of-entry<br />

cities (El Paso and Laredo, Texas), where new<br />

quarantine stations<br />

had just opened. These<br />

exercises were designed<br />

to help examine the<br />

coordination among<br />

DHS, Customs and<br />

Border Protection,<br />

and DHHS quarantine stations. More than 600<br />

emergency response personnel participated in the<br />

eight exercises.<br />

In the near future, ORISE will conduct nine<br />

additional flu tabletop exercises at a variety of new<br />

and existing quarantine stations. These tabletops<br />

will address flu preparedness activities at all ports<br />

of entry—airports, seaports, and landlocked ports.<br />

ORISE also prepared the National Aviation<br />

Resource Manual for Quarantinable Diseases<br />

for the U.S. Department of Transportation<br />

(DOT). The manual deals with the planning<br />

and preparation for, response to, and recovery<br />

from a quarantinable disease incident at a U.S.<br />

international airport. While there are nine<br />

quarantinable diseases, there are only three—<br />

smallpox, SARS, and pandemic flu—that would<br />

require an elevated response as outlined in the<br />

manual. The manual has been reviewed by the<br />

Executive Office of the President, the White House<br />

Homeland Security Council, and most cabinetlevel<br />

departments and has been approved by the<br />

Secretaries of Transportation and DHHS. It is<br />

available on the DOT Web site.<br />

Image Information:<br />

With the threat of pandemic flu ever present, federal<br />

agencies such as the CDC have raised concerns that<br />

the virus could enter the country from arriving overseas<br />

airline passengers. On behalf of the CDC, ORISE<br />

conducted exercises, such as the one represented above,<br />

at international airports in the U.S. to help prepare for<br />

dealing with the virus and other quarantinable diseases.<br />

Photo by Gerald Nino.<br />

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